Organization
HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROUSTAM ALIVERDI (PRESIDENT)
(301) 519-8611
Entity
Organization
Contact information
Practice address
15 E DEER PARK DR, GAITHERSBURG, MD 20877-2000
(301) 519-8611
(301) 519-8633
Mailing address
10613 FOREST LANDING WAY, ROCKVILLE, MD 20850-3935
(301) 519-8611
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2115
MD
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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